Tough Little Champions Pediatric Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006053 Issued in KY

Legal business name

TOUGH LITTLE CHAMPIONS PEDIATRIC PHYSICAL THERAPY, LLC

Practice address

426 Silk Oak Dr
Elizabethtown, KY 42701-5523

Phone

(270) 282-9229

NPI assigned

Mar 10, 2017

Last updated

Mar 19, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trisha Lynn Campbell, D.P.T.NPI 1871031609

Title

Physical Therapist

Phone

(270) 282-9229

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trisha L Campbell, PT, DPT

  • Physical Therapist
  • Bowling Green, KY
  • NPI 1871031609
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1649711565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SILK OAK DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015523",
            "telephone_number": "270-304-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SILK OAK DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015523",
            "telephone_number": "270-282-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUGH LITTLE CHAMPIONS PEDIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "270-282-9229",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Elizabethtown",
            "affiliation": "N",
            "address_1": "426 Silk Oak Dr",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427015523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lori Tipple, LPCC
• Christy Jean Tompach, LMFT
• Devyn Elyce Tompkins
• Total Health and Wellness, PLLC (Etown Medical Weight Loss And Aesthetics)
• Total Wellness Center LLC
• Ernest Lee Towns, CADC, CADAC-II
• Heidi Trainor
• Tranquility Springs LLC
• Mary Ann Travillian, APRN
• Justin Thomas Travis, DPT

• Physical Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.